Healthcare Provider Details

I. General information

NPI: 1093144818
Provider Name (Legal Business Name): ROBERT H ROTERING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 BREWSTER ST E
HARVEY ND
58341-1653
US

IV. Provider business mailing address

317 BREWSTER ST E
HARVEY ND
58341-1653
US

V. Phone/Fax

Practice location:
  • Phone: 701-324-5131
  • Fax: 701-324-4687
Mailing address:
  • Phone: 701-324-5131
  • Fax: 701-324-4687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number9333
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: